Sharif Digital Repository

Coronary artery diseaseaffects millions of persons and isone of the leading causes of morbidity and mortality worldwide. Invasive techniques such as coronary artery bypassgrafting are used to alleviate the lesion of arterial occlusion.Unfortunately, restenosis or occlusion of the graftedconduit occurs over a time frame of months to years with a gradual reduction in patency, especially in vein grafts. Theevents leading to intimal hyperplasia (IH) formation involve numerous cellular and molecular components. Variouscellular elements of the vessel wall are involved as are leucocyte–endothelial interactions that trigger the coagulationcascade leading to localized thrombus formation. Subsequent... 

Despite the significant progress of machine learning models in the health domain, current advanced methods usually produce non-transparent and black-box models, and for this reason, they are not widely used in medical decision-making. To address the issue of non-transparency in black-box models, interpretable machine learning models have been developed. In the health domain, counterfactual scenarios can provide personalized explanations for predictions and suggest necessary changes to transition from an undesirable outcome class to a desirable one for physicians. The aim of this study is to present an interpretable machine learning framework in the health domain that, in addition to having... 

Heart disease is one of the major causes of death in all countries, especially developing countries. At the moment, using Image Processing methods as well as analysis of electrocardiographic signals, heart disease is diagnosed with the help of specialists. Applying artificial intelligence and machine learning methods, many studies attempted to provide models that are used to diagnose automatically the heart disease without the need for a specialist and only relying on the past data. But less is done on CTA images of the heart. Hence, in this thesis, a new method for image processing and a Multi Support Vector Machine (MSVM) classification for coronary artery disease detection based on CTA... 

Obstruction of Left Anterior Descending artery (LAD) due to thrombosis or atherosclerotic plaques is the leading cause of death world–wide. Targeted delivery of drugs through micro- Nano-particles holds noteworthy promise which can make clot busting or the restenosis treatment with minimal toxicity possible. In this work, Fluid-Structure Interaction (FSI) simulations of blood flow through a patient-specific reconstructed geometry of LAD artery have been conducted using a non-Newtonian hematocrit (HCT) dependent model for blood. Based on physiological facts, 25, 45 and 65 percentages of HCT were assumed as acceptable representations of anemic, healthy and diabetic blood conditions,... 

Cardiovascular diseases are very common nowadays and are one of the main reasons of death. Being among the major types of these diseases, correct and in time diagnosis of Coronary Artery Disease (CAD) is very important. The best and most accurate CAD diagnosis method by now is recognized as Angiography, which has many side effects and is costly. Thus researchers are seeking for inexpensive, though still accurate, methods. Existing studies have used several features in collecting data from patients, while applying different data mining algorithms to increase accuracy. In this thesis, a data set is introduced which utilizes several new and effective features for CAD diagnosis, as well as a... 

Atherosclerosis, due to the penetration of low-density lipoprotein particles (LDL) into the arterial wall, is one of the most common and death-leading diseases in today's world. Due to its importance, extensive research has been conducted on the factors that affect this disease. In this thesis, a numerical study of the effects of Wall Shear Stress (WSS), non-Newtonian behavior of blood, different hematocrit values, and blood pressure on LDL permeation through the artery wall layers are investigated in a 4-layer wall model of a coronary bifurcation. To obtain the velocity and concentration fields in the domain, momentum, Brinkman, and mass transport equations are solved in the lumen and wall... 

Atherosclerosis is one of the most important factors for mortality and morbidity in the world. Coronary artery bypass graft (CABG) is applied for treatment of this disease which in this surgery, the patient vessels, such as internal thoracic artery and saphenous vein, are harvested and grafted to the coronary arteries. The graft success and its performance in short and long-term are depended on the much factors e.g. the severity of stenosis in the coronary artery. It should be noted that the low level of stenosis in the coronary artery causes the creation of undesirable phenomenon of competitive flow in the grafts after the surgery which this phenomenon has been reported as a cause of graft... 

In this study, a practical approach for robotic beating heart surgery was proposed. This approach eliminates lateral movements of the heart and compensates for normal heart movement by using 1 DOF heart stabilizer and 1 DOF heart compensator simultaneously. It is a compromise between complete fixation of the heart, which damages the heart tissue, on one hand and complex and impractical compensation of the free heart movement on the other. One of the core components of the proposed system is the slave robot, which includes a 1 DOF compensator and a 4 DOF tool holder robot. Based on the selected laparoscopic tool, a modified agile-eye mechanism for activating the wrist was introduced,...